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Tennessee Secretary of State Tre Hargett
Records Management Division
RDA
RDA Management System
RDA Details
RDA
RDA: 11309
Database ID: 2244
Record Series Title: Preadmission Screening Resident Review (PASRR), Money Follows the Person (MFP), Employment and Community First (ECF) documents
Record Series Abstract: PASRR Evaluation forms, IQ test results and other medical evaluations are submitted for review to determine if a person qualifies for nursing facility services.
Record Series Active: Yes
Cut Off at End of: Calendar Year
If Other, Explain:
Total Retention: 10 Years 0 Months
Retention End Action: Destroy
Disposition Notes: All PASRR Summary of Findings are received electronically and maintained for 10 years in the Ascend Maximus PASRR Database. Paper records are referrals received pertaining to PASRR.
View Signed Form: Form Not Received
Worksheet
Worksheet ID: 2246
Record Location: TennCare and State Contractor Ascend/Maximus
File Arrangement: Alpha
Media Format Generated: Both
Media Format Stored: Paper/Electronic
Date Range: 2005-current
Annual Accumulation: 1 paper cubic feet 1 electronic gigabyte
Current Volume: 12 paper cubic feet Approx. 12 electronic gigabyte
Record Value: Administrative, Fiscal, Legal
Audit Requirements: Both
Reference Frequency:
Current Year per Month: 75
Past Year: 50
2 - 5 Years: 25
Over 5 Years: 10
Data Update Frequency: Monthly
Information Shared Outside of State: Yes
If Shared, List Agencies: Centers for Medicare and Medicaid Services 7500 Security Boulevard Baltimore, MD 21244 7500 Security Boulevard Baltimore, MD 21244
Essential Record: No
Essential Record Stored:
Essential Record Media Type:
Confidential: Yes
Confidential Legal Citation: 45 CFR Parts 160 & 164
Media Recommendation: Current Format
Media Recommendation Other:
Agency Retention: 10 years
Agency Retention - Years Active:
Agency Retention - Years Inactive:
Records Center Retention Period: 0
Final Disposition after Retention Expires: Destroy
Legal Citation:
Record Sample: No Sample
Legal Documentation: No Legal Documentation
Electronic Records Plan Inventory
System Name: Ascend/Maximus PASRR database, TennCare T-MED database, TennCare OCCP database
IT-ABC Number: N/A
Hardware Description: Server Windows 2012 R2
Software Description: Microsoft Office Applications
System Location: State of Tennessee Data Center Capitol Complex Services Center CCSC, 901 5th Avenue North, Nashville, TN 37243
Backup Procedures: Application Across Data Centers Complete Weekly File Backups
Disaster Recovery: 3 months on site - 7 years Stone Mountain
Data Migration Description: Data is stored as a combination of PDF and/or Microsoft Word and Excel files. Data is periodically backed up by STS. Data may be copied and/or extracted in bulk through standard windows file restore processes or by standard ETC Processes, or files can be copied or moved by an individual user through normal Windows features.
Metadata Description: Standard metadata is captured when uploaded to the file server and is dependent on the file type (pdf, text, etc.)
Contact Information
Contact Name: Simone N/A Cuarino
Job Title: Records Officer
Address 1: 400 DEADERICK STREET
Address 2: 10TH FLOOR
City: NASHVILLE
Zip: 37243
Phone: 615-532-6511
Email: simone.cuarino@tn.gov
Agency: Dept. of Intellectual & Developmental Disabilities
Agency Head: DEBRA K. PAYNE, COMMISSIONER
Director: Carmelita Hillsman, PASRR Program Director
Allotment Code: 344.01
Status
Action Requested: New RDA
Comments
  Date Comments
Records Management Division (RMD): 10-04-2018 Please clarify why these records need to be kept permanently. Update: Agency specified that these are to be kept ten years and destroy.
Tennessee State Libary and Archives: 10-04-2018 TSLA concurs in RMD comment.
Comptroller Audit Review: 2018-10-04 Audit concurs with RMD comments.
Agency: 10-08-2018 These files are not to be kept permanently. I accidently hit the wrong drop down selection. The files are to be destroyed after the retention time has passed. Thank you!
RMD Director Recomendations: 10-11-2018 RDA 11309 is a request to create an RDA. The retention period will be ten years and destroy. The format will be paper/electronic. The RDA sheet has been adjusted to reflect that these records are destroyed after ten years as per the agency instructions. Recommend approval of request to create RDA 11309.
Signed Form Received: 2018-10-10
PRC Meeting Date: 10-30-2018
PRC Comments: PRC approves RDA 11309.
PRC Action: Approved
RDA History
ID RDA PRC Reviewed PRC Action
2244 11309 2018-10-30 Approved